MARC M. KEULER MD
NPI 1942247028
Internal Medicine in Tobyhanna, PA
About Marc M. Keuler Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARC M. KEULER MD (NPI 1942247028) is an individual internal medicine provider in Tobyhanna, Pennsylvania, licensed in Pennsylvania (MD030118E) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Medical College Of Pennsylvania (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marc M. Keuler Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Marc Keuler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tobyhanna, PA 18466
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 500 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger-Community Medical Center
Acute Care Hospitals · Scranton, PALehigh Valley Hospital - Pocono
Acute Care Hospitals · East Stroudsburg, PASt Luke's Hospital - Monroe Campus
Acute Care Hospitals · Stroudsburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18466 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TOBYHANNA, PA 18466
TOBYHANNA, PA 18466
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marc Keuler's NPI number?
The NPI number for Marc Keuler is 1942247028. It was assigned to this individual provider in the NPPES registry on May 31, 2006.
Where is Marc Keuler located?
Marc Keuler practices at 100 Community Dr Pmc Physician Assoc .- Internal Medicine. Suite 203, Tobyhanna, PA 18466. The listed phone number is (570) 839-8754.
What is Marc Keuler's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Marc Keuler enrolled in Medicare?
Yes. Marc Keuler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Marc Keuler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marc Keuler reassigns Medicare benefits to 2 organizations: Lehigh Valley Physician Group (Tobyhanna, PA) and Family Care Centers Inc (East Stroudsburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Keuler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marc Keuler accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Marc Keuler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Marc Keuler affiliated with any hospitals?
According to CMS data, Marc Keuler is affiliated with Geisinger-Community Medical Center, Lehigh Valley Hospital - Pocono and St Luke's Hospital - Monroe Campus.
When was this NPI record last updated?
The NPPES record for Marc Keuler was last updated on March 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marc M. Keuler, MD · NPI 1942247028
Internal Medicine physician in Tobyhanna, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1942247028 (Entity type: Individual)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD030118E (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 COMMUNITY DR, PMC PHYSICIAN ASSOC .- INTERNAL MEDICINE. SUITE 203, Tobyhanna, PA 18466-8985
- **Phone:** (570) 839-8754 · **Fax:** (570) 839-0893
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lehigh Valley Physician Group (NPI 1336902469, Tobyhanna, PA); Family Care Centers Inc (NPI 1316409626, East Stroudsburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Pennsylvania, class of 1982
## Record status
- **NPPES last updated:** March 5, 2009
- **Other identifiers:** Medicaid 0016390580001 (PA); Medicare UPIN B40280 (PA); Medicare PIN 159861PZP (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1942247028) · Data from the CMS NPPES public registry.